153801386-1-5-2022-04-CC-MDUE-CAF3DU-20220106171004

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 153801386
Report Date: 01/04/2022
Date Signed: 01/05/2022 11:26:32 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/08/2021 and conducted by Evaluator Juvenal Moctezuma

PUBLIC

COMPLAINT CONTROL NUMBER: 04-CC-20211008082821

FACILITY NAME:	FAIRGROUNDS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	153801386
ADMINISTRATOR:	TOVAR, RITA		FACILITY TYPE:	850
ADDRESS:	931 BELLE TERRACE		TELEPHONE:	(661) 837-1582
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93304
CAPACITY:	92	CENSUS: 39	DATE:	01/04/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Rene Maston		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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1. Staff did not prevent inappropriate interactions between day care children
2. Day care child sustained injury while in care

INVESTIGATION FINDINGS:

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On 01/04/22, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an unannounced inspection to conclude the complaint investigation that was received on October 08, 2021. LPA met with Site supervisor, Rene Maston and discussed the purpose of the inspection and investigation findings. A Tour of the center was conducted both inside and outside and census were taken.

During the course of the investigation, LPA interviewed and obtained information from reporting party, staff, parents, & children. Interviews with staff & review of facility incident reports revealed that there has been multiple incidents involving child #1 since their enrollment (July 2021) at this day-care center. It was also revealed that day-care children have sustained minor Injuries while in care. A plan was created to help child #1 in August of 2021 but center has failed to follow through with their disenrollment polices as stated in interviews and parent handbook.
CONTINUED ON 9099-C

Substantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20211008082821

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FAIRGROUNDS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 153801386
	VISIT DATE: 01/04/2022

NARRATIVE

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Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099-D.

An exit interview conducted with Licensee/Director Rene Maston. A copy of this report and appeal rights were provided to Licensee/Director, Rene Maston.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022

LIC9099 (FAS) - (06/04)

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Control Number 04-CC-20211008082821

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FAIRGROUNDS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 153801386
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/04/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/31/2022 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights; (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee stated she shall conduct a staff meeting with all staff to review children’s personal rights and shall submit the meeting agenda and signatures of attendees to Community Care Licensing (CCL) by 01/31/2022.
	8 9 10 11 12 13 14	Based on interview and records review, Licensee did not guarantee for staff to prevent inappropriate interactions between day care children and children sustaining injuries while in care by child #1, as described in LIC 9099. This poses a potential risk to the health, safety, or personal rights of children.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022

LIC9099 (FAS) - (06/04)

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